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Harborside Psych

Eating Disorder Treatment for West Barnstable, MA

Every clinician at Harborside brings an extensive background in treating eating disorders and the conditions that tend to travel with them, from anxiety to trauma histories to mood disorders. That depth matters, because disordered eating is rarely one thing by itself. For West Barnstable, a village that stays quiet and close-knit through the winter after the summer visitors leave, that kind of informed, unhurried care is available without leaving the house. Harborside Psychiatrics is based just up the road in Yarmouth Port, and we work with year-round Cape families, retirees, and households tied to seasonal businesses whose calendar swings hard between July and February.

Eating Disorder Treatment for people in West Barnstable, MA

Care happens over live video, using a secure platform you access through a link sent before each appointment. You need a phone, tablet, or computer with a camera and a stable internet connection, and a private room where you can talk freely for the length of the session. Nothing else is required on your end.

An initial evaluation typically runs longer than a follow-up, since it involves a full history of eating patterns, physical health, mood, and any past treatment. Follow-up appointments, whether for therapy or medication management, are shorter and scheduled at a pace that fits the person, sometimes weekly, sometimes monthly, depending on what care requires at that point. If medication is part of the plan, prescriptions are sent electronically to the pharmacy you choose, whether that’s in West Barnstable, Hyannis, or wherever you fill prescriptions now. Harborside is based in Yarmouth Port, Massachusetts, and every clinician on the team is licensed to practice in Massachusetts.

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How telehealth care actually works

We work with anorexia, bulimia, binge eating disorder, and other patterns of disordered eating, including restriction, bingeing, purging, and the anxious rules people build around food and body image over time. Eating disorders rarely show up alone. Many people we see are also managing anxiety, depression, obsessive-compulsive patterns, trauma, or ADHD, and treatment accounts for how these conditions interact rather than addressing food in isolation.

Care can include ongoing therapy, medication management when it’s clinically appropriate, or both together, coordinated between your therapist and prescriber so the plan holds up over time rather than pulling in different directions.

What we treat

The first appointment is a conversation, not a test to pass. Expect questions about your eating patterns and history, your physical health, any medications you take, past treatment, and what’s going on in the rest of your life, including work, family, and stress. If you’re booking with a prescriber, this evaluation also covers the medical background needed to consider any medication options safely. If you’re starting with a therapist, the focus is on understanding the shape of the problem and beginning to build a working relationship. Either way, you leave with a clearer sense of next steps, not a diagnosis handed to you cold.

What the first appointment involves

Medication management and functional psychiatry at Harborside are performed by psychiatric nurse practitioners: Rachel Egan, RN PMHNP-BC, who is also Harborside’s clinical director, Emily Pardue, RN PMHNP-BC, and Kirstin Ritchie, RN PMHNP-BC. Each is qualified to evaluate, diagnose, and prescribe for mental health conditions, including the medical complexity that can come with eating disorders. Full bios and credentials for each of them are on the team page.

Therapy and eating disorder work are delivered by the licensed therapy team: Hannah Legesse, LICSW, Tori Mahoney, LMHC, Jacquelyn Duford, LCMHC ATR, a registered art therapist, and Lexie Carchedi, LCSW. Between them, they bring different training and approaches to therapy for eating disorders and the conditions that often accompany them, and your care is matched to what fits your situation.

Who our clinicians are

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial evaluation and follow-up appointments are listed on the pricing page, and any questions about cost can be answered before you book anything.

What it costs

If you’re ready to schedule, you can book an appointment directly through the website, or reach out first with questions about which clinician might be the right fit. West Barnstable residents work with the same Yarmouth Port-based team as the rest of the Cape, by video, on a schedule built around your week rather than an office’s. You can learn more about our eating disorder treatment services, how we work across Massachusetts, and what care looks like for other Cape Cod communities we serve.

Getting started

If you are in immediate danger, call 911. For mental health crisis support, call or text 988. Harborside does not provide emergency or after-hours care.

This page is educational and does not constitute medical advice. It does not create a provider-patient relationship. If you are experiencing symptoms of an eating disorder, including medical complications, please consult a qualified clinician or seek in-person evaluation. [CITATION: National Eating Disorders Association (NEDA) or NIMH eating disorders overview, for general education on symptoms and risk]

Reviewed by Hannah Legesse, LICSW. Last reviewed: {LAST_REVIEWED}.

Frequently Asked Questions

Does Harborside treat eating disorders that haven't been formally diagnosed?

Yes. Many clients start therapy for a difficult relationship with food or body image before, or without, a formal diagnosis.

Yes, when a client is already working with one. Coordination is discussed during intake and ongoing treatment.

No. Eating disorder therapy at Harborside is talk therapy. Medical monitoring, lab work, and meal planning are handled by outside providers and coordinated with as needed.

Clients who want medication management can be connected with one of Harborside’s psychiatric nurse practitioners.

No. Outpatient therapy isn’t appropriate for every situation. If a higher level of care is needed, your therapist will discuss that directly rather than continuing with weekly sessions alone.

Currently, eating disorder treatment at Harborside is available to clients located in Massachusetts and New Hampshire.

If you need help right now

If you are in immediate danger, call 911. For mental health crisis support, call or text 988. Harborside Psychiatrics does not provide emergency or after-hours care.